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Individual

DR. LARRY VINUELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
15450 NEW BARN RD, #101, MIAMI LAKES, FL 33014-2169
(305) 557-7775
Mailing address
9001 SW 93RD AVE, MIAMI, FL 33176-2066
(305) 431-6440

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19253
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/14/2008
Last updated
11/04/2014
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